Active NPI
Kristy Ann Williamson-Leo, LMHC-CASAC-T
- Mental Health Counselor
- Ballston Spa, NY
National Provider Identifier
1073001483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 008302-1
- Practice address
- 35 Bath St
Ballston Spa, NY 12020-1704 - Phone
- (518) 245-6272
- Fax
- (845) 868-3124
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 008302-1 | NY | Primary |
Addresses
Primary practice location
35 Bath St
Ballston Spa, NY 12020-1704
Mailing address
35 Bath St
Ballston Spa, NY 12020-1704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008302-1 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearwater Counseling Associates LCSW, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Hyde Park, NY
- NPI 1700236775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1073001483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 BATH ST",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120201704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 BATH ST",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120201704",
"telephone_number": "518-245-6272",
"fax_number": "845-868-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON-LEO",
"first_name": "KRISTY",
"middle_name": "ANN",
"credential": "LMHC-CASAC-T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "008302-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballston Spa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.